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Illinois rates for HCPCS J3475

Injection, magnesium sulfate, per 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $33.36 / $127.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.60 / $5.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.17 / $3.39 / $15.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.59 / $5.94
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.64